| NPI | 1205675923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4351052752) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5315248578) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-07-11 |